Journal of Urgent Care Medicine

Urgent Care Evaluation and Management of Acromioclavicular Separation

Urgent Message: Urgent care management of acromioclavicular joint separation consists of patient education on immobilization and pain management with consideration for emergency department referral when red flags are present. Jerome Walsh, BS; Clinton Hartz, MD; Michael B. Weinstock, MD Keywords: acromioclavicular joint separation; ac joint injury; shoulder trauma; rockwood classification; shoulder injury; urgent care Questions for the Clinician at the Bedside Editor’s Note: While the images presented here are authentic, the patient case scenarios are …

Urgent Care Diagnosis and Management of Toddler’s Fracture

Urgent Message: Identifying fall height and mechanism, while also relying on caregiver narratives, can help urgent care clinicians rule out severe pathologies and diagnose a toddler’s fracture in ambulatory pediatric patients after a fall. Connor Osmond, BA; Thomas Seebacher, DO Keywords: fractures, bone; tibial fractures; gait disorders, neurologic; radiography; accidental falls Editor’s Note: While the images presented here are authentic, the patient case scenario is hypothetical. Questions for the Clinician at the Bedside Abstract A …

Urgent Care Evaluation and Management of De Quervain Tenosynovitis

Urgent Message: Patients presenting with radial wrist pain that is exacerbated by thumb and wrist motion may raise the suspicion for De Quervain tenosynovitis (DQT). Utilizing a clinically focused framework is important for the evaluation and management of DQT. Jacob Welch OMS-3, William O’Neal MD Keywords: wrist pain, De Quervain tenosynovitis, Finkelstein test, Eichhoff test Editor’s Note: The patient case scenario is hypothetical to enhance educational value. Abstract De Quervain tenosynovitis (DQT) is a frequent …

Wrist Pain Related To Rheumatoid Arthritis: A Case Study

Urgent Message: Wrist pain and swelling are common presentations in urgent care. Several factors can help clinicians identify cases of rheumatoid arthritis in order to promptly refer patients to rheumatology. Christina Williams, BS; Veronica Heitsch, MD Keywords: rheumatoid arthritis; wrist pain; inflammatory arthritis; metacarpophalangeal joint; rheumatoid arthritis diagnosis; disease-modifying antirheumatic drugs Questions for the Clinician at the Bedside Editor’s Note: While the images presented here are authentic, the patient case scenario is hypothetical. Abstract Rheumatoid …

Diagnosis and Management of Flexor Digitorum Profundus Tendon Avulsion (Jersey Finger)

Urgent Message: Forced hyperextension of a flexed digit may strain or rupture the flexor digitorum profundus tendon from the distal phalanx. Prompt diagnosis and treatment of acute injury are key in the prevention of permanent finger dysfunction. Alyssa Marchman, BS; Sarah Brouwer, BS; William Beauchamp, DO Key Words: Flexor Digitorum Profundus, Tendon Avulsion, Jersey Finger Questions for the Clinician at the Bedside: Editor’s Note: While the images presented here are authentic, the patient case scenarios …

Legal Considerations and Urgent Care Management of Acute Compartment Syndrome in the Upper Extremity

Urgent Message: Compartment syndrome is a limb-threatening emergency that can present with variable clinical signs and symptoms. When the diagnosis is missed or delayed, poor functional outcomes and subsequent malpractice claims are common. Prevention of negative outcomes relies on early detection and a low-threshold for emergency department referrals. Josie L. Bunstine, DO; Ariel Cohen, DO Key words: Compartment Syndrome, Medical Malpractice Questions for the Clinician at the Bedside Abstract Acute compartment syndrome is a limb-threatening …

Urgent Care Evaluation and Management of Suspected Lisfranc Injuries

Urgent Message: Rapid identification of Lisfranc injuries in urgent care is critical, as delays in diagnosis can lead to chronic disability. Most patients with Lisfranc fractures or dislocations should be referred directly to the emergency department. Cross-sectional imaging (ie, computed tomography) and orthopedic consultation are time-sensitive, and urgent operative repair is often indicated. Alexandra Eby, BS; Nicole Meschbach, MD Questions for the Urgent Care Clinician at the Bedside Abstract A Lisfranc injury is a tarsometatarsal …

Urgent Care Evaluation and Management of Hip Osteoarthritis

Urgent Message: Osteoarthritis of the hip most commonly affects older adults and those with other risk factors including obesity and prior hip injury. It is a diagnosis of exclusion, therefore, the initial priority in urgent care for patients presenting with hip pain involves excluding alternative, time-sensitive etiologies. Alex Dragota, BSME; Matthew Baird, MD; Michael Weinstock, MD Citation: Dragota A, Baird M, Weinstock M. Urgent Care Evaluation and Management of Hip Osteoarthritis. J Urgent Care Med. …

Urgent Care Assessment and Management of Shoulder Dislocations

Urgent Message: The vast majority of shoulder dislocations are anterior, occurring when stress is applied to an externally rotated and abducted shoulder. In most cases, immediate reduction is indicated, and urgent care clinicians should be familiar with situations that call for emergency department referral. Jennifer Hicks, DO; Matthew B. Baird, MD Citation: Hicks J, Baird MB. Urgent Care Assessment and Management of Shoulder Dislocations. J Urgent Care Med. 2025; 19(5):9-15 Questions for the Clinician at …

Urgent Care Considerations for the Patient with Suspected Rib Fracture

Urgent Message: Rib fractures most commonly occur after blunt chest injury. Consider serious associated injuries such as pneumothorax, hemothorax, and pulmonary contusion when assessing patients with suspected rib fractures. Ensuring appropriate analgesia is critical for reducing the risk of complications. Dustin M. Nelson, BS; Shering Torres, MAS, MD; Michael Weinstock, MD Citation: Nelson DM, Torres S, Weinstock M. Urgent Care Considerations for the Patient with Suspected Rib Fracture. J Urgent Care Med. 2025; 19(4): 13-21 …

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